Organization
WILSONVILLE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA L WIELAND D.M.D. (PARTNER)
(503) 682-0431
Entity
Organization
Contact information
Practice address
29292 SW TOWN CENTER LOOP E, WILSONVILLE, OR 97070-9491
(503) 682-0431
(503) 682-3873
Mailing address
29292 SW TOWN CENTER LOOP E, WILSONVILLE, OR 97070-9491
(503) 682-0431
(503) 682-3873
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7842
OR
Other
Enumeration date
07/15/2009
Last updated
08/04/2009
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